Management of perinatal testicular torsion: experience of two tertiary centers

Yağız, Beytullah; Hancıoğlu, Sertaç; Balcı, Özlem; Demirel, Berat Dilek; Karaman, Ayşe; Bıçakçı, Ünal; Özgüner, İsmet Faruk; Karaman, Íbrahím

doi:10.1007/s00383-020-04666-4

Cited by 8 publications

(1 citation statement)

References 19 publications

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“…Perineonatal testicular torsion is defined as testicular torsion that occurs during the gestational and neonatal periods [ 38 – 43 ]. Testicular salvage is usually difficult in these cases as the onset of spermatic twisting is unclear and surgical intervention is not possible [ 38 , 39 , 42 ]. The size and echogenicity of the testes are the factors influencing testicular salvage [ 30 , 44 – 46 ].…”

Section: Introductionmentioning

confidence: 99%

Point-of-care ultrasonography for the diagnosis and manual detorsion of testicular torsion

Hosokawa,

Tanami,

Sato

et al. 2023

J Med Ultrasonics

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Testicular torsion is a urological emergency caused by the loss of testicular tissue due to ischemic damage. Rapid diagnosis and urgent treatment play a crucial role in the management of testicular torsion. Manual detorsion can be performed at the bedside, thereby reducing the duration of ischemia. Recent studies have reported the use of point-of-care ultrasonography for diagnosing testicular torsion; however, no review article has focused on the ultrasonographic findings pertaining to manual detorsion. This review describes the diagnosis of testicular torsion and the ultrasonographic indications for manual detorsion. Spermatic cord twisting or the whirlpool sign, absence of or decreased blood flow within the affected testis, abnormal testicular axis, abnormal echogenicity, and enlargement of the affected testis and epididymis due to ischemia are the sonographic findings associated with testicular torsion. The following findings are considered indications for manual detorsion: direction of testicular torsion, i.e., inner or outer direction (ultrasonographic accuracy of 70%), and the degree of spermatic cord twist. The following sonographic findings are used to determine whether the treatment was successful: presence of the whirlpool sign and the degree and extent of perfusion of the affected testis. Misdiagnosis of the direction of manual detorsion, a high degree of spermatic cord twisting and insufficient detorsion, testicular compartment syndrome, and testicular necrosis were found to result in treatment failure. The success of manual detorsion is determined based on the symptoms and sonographic findings. Subsequent surgical exploration is recommended in all cases, regardless of the success of manual detorsion.

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Section: Introductionmentioning

confidence: 99%

Point-of-care ultrasonography for the diagnosis and manual detorsion of testicular torsion

Hosokawa,

Tanami,

Sato

et al. 2023

J Med Ultrasonics

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Intrauterine Testicular Torsion: Two Prenatally Diagnosed Cases and Review of the Literature

Lituania,

Sepulveda,

Tonni

2024

J of Clinical Ultrasound

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The third‐trimester ultrasound diagnosis in two fetuses with isolated testicular torsion is described. Pregnancy courses were uneventful and routine second‐trimester scans had shown no structural anomalies. Antenatal ultrasound performed at 32 + 3 and 33 + 0 weeks' gestation showed signs consistent with the diagnosis of isolated left spermatic cord torsion in both cases (absent flow across the testicular artery, hyperechogenic small rounded mass in the hemiscrotum representing the twisted testes, and hydrocele). Although testicular torsion may occasionally occur in utero, these acute events have been scanty reported in the prenatal literature. As a consequence of the ischemic injury, the rate of salvage of the affected testis is extremely low.

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Clinical features of neonatal testicular torsion: A retrospective analysis of 24 cases

Huang,

Zeng,

et al. 2024

The American Journal of Emergency Medicine

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Management of perinatal testicular torsion: experience of two tertiary centers

Cited by 8 publications

References 19 publications

Point-of-care ultrasonography for the diagnosis and manual detorsion of testicular torsion

Point-of-care ultrasonography for the diagnosis and manual detorsion of testicular torsion

Intrauterine Testicular Torsion: Two Prenatally Diagnosed Cases and Review of the Literature

Clinical features of neonatal testicular torsion: A retrospective analysis of 24 cases

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